33 research outputs found

    Efficacy of a family practice-based lifestyle intervention program to increase physical activity and reduce clinical and physiological markers of vascular health in patients with high normal blood pressure and/or high normal blood glucose (SNAC): study protocol for a randomized controlled trial

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    <p>Abstract</p> <p>Background</p> <p>Previous interventions to increase physical activity and reduce cardiovascular risk factors have been targeted at individuals with established disease; less attention has been given to intervention among individuals with high risk for disease nor has there been determination of the influence of setting in which the intervention is provided. In particular, family practice represents an ideal setting for the provision and long-term maintenance of lifestyle interventions for patients at risk (ie high-normal blood pressure or impaired glucose tolerance).</p> <p>Methods/design</p> <p>The Staged Nutrition and Activity Counseling (SNAC) study is a randomized clustered design clinical trial that will investigate the effectiveness and efficacy of a multi-component lifestyle intervention on cardiovascular disease risk factors and vascular function in patients at risk in primary care. Patients will be randomized by practice to either a standard of care lifestyle intervention or a behaviourally-based, matched prescriptive physical activity and diet change program. The primary goal is to increase physical activity and improve dietary intake according to Canada's Guides to Physical Activity Healthy Eating over 24 months. The primary intention to treat analysis will compare behavioral, physiological and metabolic outcomes at 6, 12 and 24 months post-randomization including estimation of incident hypertension and/or diabetes.</p> <p>Discussion</p> <p>The design features of our trial, and the practical problems (and solutions) associated with implementing these design features, particularly those that result in potential delay between recruitment, baseline data collection, randomization, intervention, and assessment will be discussed. Results of the SNAC trial will provide scientific rationale for the implementation of this lifestyle intervention in primary care.</p> <p>Trial registration</p> <p>ISRCTN: <a href="http://www.controlled-trials.com/ISRCTN:42921300">ISRCTN:42921300</a></p

    COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries

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    Widespread acceptance of COVID-19 vaccines is crucial for achieving sufficient immunization coverage to end the global pandemic, yet few studies have investigated COVID-19 vaccination attitudes in lower-income countries, where large-scale vaccination is just beginning. We analyze COVID-19 vaccine acceptance across 15 survey samples covering 10 low- and middle-income countries (LMICs) in Asia, Africa and South America, Russia (an upper-middle-income country) and the United States, including a total of 44,260 individuals. We find considerably higher willingness to take a COVID-19 vaccine in our LMIC samples (mean 80.3%; median 78%; range 30.1 percentage points) compared with the United States (mean 64.6%) and Russia (mean 30.4%). Vaccine acceptance in LMICs is primarily explained by an interest in personal protection against COVID-19, while concern about side effects is the most common reason for hesitancy. Health workers are the most trusted sources of guidance about COVID-19 vaccines. Evidence from this sample of LMICs suggests that prioritizing vaccine distribution to the Global South should yield high returns in advancing global immunization coverage. Vaccination campaigns should focus on translating the high levels of stated acceptance into actual uptake. Messages highlighting vaccine efficacy and safety, delivered by healthcare workers, could be effective for addressing any remaining hesitancy in the analyzed LMICs.Publisher PDFPeer reviewe

    Finishing the euchromatic sequence of the human genome

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    The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∌99% of the euchromatic genome and is accurate to an error rate of ∌1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead

    Cost-sensitive learning and decision making for Massachusetts PIP claim fraud data

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    For the first time in NFL history, the winning coach of the Super Bowl will be African-American. While the history of African-American coaches in the NFL dates back to Frederick Douglass Fritz Pollard in 1921, the next African-American head coach of an NFL team was not hired until 1989, when Art Shell was hired by the Oakland Raiders. In 2002, the National Football League adopted the “Rooney Rule,” which requires any team engaged in hiring a head coach to assemble a diverse candidate slate. At least in part as a result, there were a record seven black head coaches in the 2006 season, two of whom--Tony Dungy of the Indianapolis Colts and Lovie Smith of the Chicago Bears--are now the first African-American head coaches to lead their teams to the Super Bowl. Additionally, with the appointment of Jerry Reese as General Manager of the New York Giants, there are now a record six African Americans in General Manager or General Manager equivalent positions. ACS\u27s panel, which took place in the official Super Bowl XLI media center in Miami, Florida, addressed how those policies were adopted and implemented, the impact they have had on the league and the challenges that remain

    Database research at the Data-Intensive Systems Center

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    Learning styles : Are they fact or fiction?

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    As researchers attempt to identify and analyze the variety of factors that contribute to or inhibit the learning process, it is common to focus on elements external to the learner (e.g., teaching methods, classroom setting, curriculum development). Less research has focused on elements internal to the learner (e.g., the processes by which the learner perceives, interprets, stores, and recalls information). The various ways in which learners react to learning experiences, the learning environment, and related elements compose an individual’s learning style. Do Learning Styles Really Exist? Research Related to the Perceptual Learning Style Modality Research related to Cognitive and Affective Learning Style Modalities An Assessment of Learning Style Instruments for Adults What’s Needed
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